seanpdent ADN, BSN, MSN, APRN, NP

ICU

??| Acute Care NP | Storyteller | YouTuber | Author | People ask me questions, and I answer them. #nurse #heysean #coffeegeek #tattoo

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All Content by seanpdent

  1. seanpdent

    IABP and CPR

    seanpdent replied to Tornadochaser's topic in CCU, Coronary, Cardiac

    I don't know about you.. but 'syncing' compressions in a 'code' situation.. may be a tad difficult. Thanks for the great info
  2. seanpdent

    Only one RN on nights--me. Time to go?

    seanpdent replied to learning08's topic in First Year After Licensure

    YEP. If I were in your shoes, I'd be voicing my opinion on pt safety. If nothing can be done, I'd be looking for a new job. To many open windows for possible incidents. And you are the one who is...
  3. seanpdent

    Verifying identity of sedated patient's family

    seanpdent replied to qtpnai03's topic in First Year After Licensure

    In my unit, a surgical/trauma ICU, we have security measures. Families are required to establish a PIN number whenever they call and or visit. In order to give any information, or allow them to come...
  4. seanpdent

    Milking chest tubes

    seanpdent replied to CleioRN's topic in CCU, Coronary, Cardiac

    Joey hit the nail on the head. Milking is very different from stripping a tube. We 'strip' JP drains and other negative pressure drains. Milking is simply allowing gravity to move the drainage from...
  5. seanpdent

    How much floor time must an RN have b4 going into Crital Care.

    seanpdent replied to FaithIn40's topic in MICU, SICU

    On my unit, we've hired 12 new grads over the past 4 months. No such thing as needing 'floor time' before critical care. You can start in the critical care setting right out of school. I did, and that...
  6. seanpdent

    Question regarding CCRN eligibility.

    seanpdent replied to alibaba123456's topic in CCU, Coronary, Cardiac

    echoing the above statement. The hours must be clincal hours at the bedside of the acute care setting (critical care). And I would encourage you to follow your interests. Most ICU's are hiring new...
  7. seanpdent

    What are your ICU visitation hours???

    seanpdent replied to Nacki's topic in MICU, SICU

    Heh heh.. I have the ideal situation. 10a-12p, 2p-4p, 5-6p & 830-10p. We have locked doors and a locked unit. Some persk to working in a trauma
  8. seanpdent

    Job Application: what does "pool" mean

    seanpdent replied to metfan's topic in First Year After Licensure

    It's sometimes synonymous with 'float', meaning you could work on multiple units/shifts. The pay is more of
  9. seanpdent

    some younger male nurses.....

    seanpdent replied to junebride's topic in Men in Nursing

    OUCH.. lil angry I see. I do hope your opinion is open for change, since your post is not the
  10. seanpdent

    GN Orientation the good the bad the ugly

    seanpdent replied to PICURN74's topic in First Year After Licensure

    IMHO, I would make sure to see everything through the GN's eyes. Don't ever forget what it was like to be in their shoes! If we nurture, educate and teach the GN's we will help develop a strong nurse...
  11. seanpdent

    feeling overwhelmed by the ICU

    seanpdent replied to Sterren's topic in First Year After Licensure

    It IS absolutely normal to feel overwhelmed. Working in the ICU is not easy, and not everyone can do it. It's a tough environment for ANY nurse, let alone a new grad. Hang in there. I can tell you...
  12. seanpdent

    Blood Pressure Question

    seanpdent replied to CNA0681's topic in First Year After Licensure

    The closer to the heart the measurement is taken ,the more accurate. So taking at the wrist and say the ankle are going to be 'off' compared to the brachial. As for using the arm cuff on a wrist,...
  13. seanpdent

    proning patients

    seanpdent replied to tree22_RN's topic in MICU, SICU

    We use the Rot-a-Prone bed... quite often as of lately. We have used for pt's with advanced ARDS who do not respond to any other therapy treatments.. including Nitric Oxide therapy. And we have had...
  14. seanpdent

    Is there a max dose of Levophed?

    seanpdent replied to KevinS's topic in MICU, SICU

    I think when referring to the 'max' dose of levo.. it's the point when the levo is actually harming the pt.. as opposed to supporting the pt. I just used levo... at 0.4mcg/kg/min on a pt recently...
  15. seanpdent

    Levophed vs. Neo

    seanpdent replied to hell000nurse's topic in MICU, SICU

    You would be correct. Neo is the first-choice.. first-line defense of low BP. Levo on the other hand used to be considered your 'last' defense. Meaning that if the pt needed levo.. the outlook was not...
  16. seanpdent

    is it that bad???

    seanpdent replied to registeredin06's topic in MICU, SICU

    Wow... This post has got me thinking about our practices.... We currently use the same tubing for ETT and oral. AND there have been numerous scenarios where we as nurses stick the yankeur back into...
  17. seanpdent

    which would you rather work with male or female nurses?

    seanpdent replied to fairness's topic in Men in Nursing

    As a male nurse.. I can tend to be biases when it comes to the nursing fields ignorance to the male gender, but the women have been fighting this battle a lot longer than we have. It sounds more like...
  18. seanpdent

    ICU has me HOOKED

    seanpdent replied to Burnenup's topic in MICU, SICU

    I drive the distance you are talking about for a job similar in description... I've been doing it for 2 yrs now.. and can't imagine anything else. Go with where your passion
  19. seanpdent

    If you knew then what you know now.....

    seanpdent replied to CandyGyrl's topic in MICU, SICU

    As motivated as you are.. My best suggestion would be to channel all that energy into nursing school and boards first, simply because you have to crawl before you can walk. Get the basics down first...
  20. seanpdent

    Pearls of Wisdom

    seanpdent posted a topic in CCU, Coronary, Cardiac

    I'm looking for suggestions. I would like to know what you have learned over the years as a nurse that they DID NOT teach you in nursing school that has helped you out at the bedside. What tips &...
  21. seanpdent

    Any man here dated a fellow female nursing student?

    seanpdent replied to nursingstudent1988's topic in Men in Nursing

    Heh heh.. Yep I dated one... and have been married to her for 3yrs now!
  22. seanpdent

    Are 2 year nurses getting phased out?

    seanpdent replied to mack7580's topic in General Nursing

    Heh heh.. well I'm a "2yr" RN.. from a diploma school. So I may be just a tad biased here... but... I'd love to see an employer refuse a nurse these days simply because of them being a "2yr" not a "3"...
  23. seanpdent

    ...am I supposed to know everything?

    seanpdent replied to Sunkyst08's topic in First Year After Licensure

    OK.. First.. take a deep breath. Second.. take a deep breath. :) Heck no.. you are not supposed to know everything. As for the NCLEX... it's ALL about test taking strategies, not about how much you...
  24. seanpdent

    2° abbreviation

    seanpdent replied to jakeMIKY's topic in Nursing Student Assistance

    Yep, I concurr. It's in a physician SOAP note, or progress note most of the time. Secondary
  25. seanpdent

    EF of 78-88%

    seanpdent replied to emersushea's topic in General Nursing

    I'm in the middle of this road. I never had an EF that was high referred to as 'bad', but if they pt did have hypertrophic cardiomyopathy .... hhmm would there EF really be that high? Or would it be...